Short-Term Outcome of Cardiac Surgeries in a Tertiary Care Hospital at the Eastern Part of Nepal

Authors

  • Praman Sharma Department of Cardiothoracic and Vascular Surgery, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal https://orcid.org/0000-0003-3319-0026
  • Lokesh Yadav Department of Cardiothoracic and Vascular Surgery, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal
  • Ahmad Shahbaz Department of Cardiac Surgery, Punjab Institute of Cardiology, Lahore, Pakistan
  • Jyotindra Sharma Department of Cardiothoracic and Vascular Surgery, HAMS, Kathmandu, Nepal
  • Rajesh Nepal Department of Cardiology, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal
  • Sunil Babu Khanal Department of Cardiology, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal
  • Subhadra Agrawal Tulsa Mother and Child care Hospital, Biratnagar, Nepal
  • Vivek Kattel Department of Internal Medicine, BP Koirala Institute of Health Sciences, Dharan, Nepal

DOI:

https://doi.org/10.3126/jonmc.v10i1.37931

Keywords:

Cardiovascular Disease, Cardiac Surgery, Treatment Outcome

Abstract

Background: Cardiac surgical procedures like coronary artery bypass graft surgery and aortic or mitral valve replacements are commonly performed worldwide. In the developing world, Cardio-Thoracic and Vascular Surgery are not adequately accessible except in a few major cities. We established the department to fill that gap at a tertiary center in the eastern part of Nepal. The main objective of the study was to evaluate the short-term outcome of all major cardiac surgeries.

Materials and Methods: This is a retrospective study including all cardiac surgery cases operated over 18 months of the establishment. Demographics, various cardiac diseases, co-morbidities, pre-specified peri-operative, and postoperative outcomes were noted in pre-structured questionnaires. The ethical clearance was taken from the hospital ethical committee.

Results: There were 67 major cardiac surgery cases performed. Among those 50.7% and 49.3% were males and females respectively with a median age of 50 years. The most common etiology was coronary artery disease (43.28%) followed by rheumatic heart disease (28.35%) and congenital heart diseases (23.88%). The mean cardiopulmonary bypass and aortic cross-clamp times were 93 min and 58 min respectively. The mean intensive care unit and hospital stays were 1.9 and 5.87 days respectively. One (1.5%) patient underwent reexploration and 6(8.9%) patients developed acute kidney injury. Peri-operative survival was 100% whereas the first and third-month survivals were 97% and 95% respectively.

Conclusion: Major cardiac surgeries are feasible and safe in newly established cardiac surgery department with acceptable short-term morbidity and mortality.

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Author Biography

Praman Sharma, Department of Cardiothoracic and Vascular Surgery, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal

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Published

2021-06-19

How to Cite

Sharma, P., Yadav, L., Shahbaz, A., Sharma, J., Nepal, R., Khanal, S. B., Agrawal, S., & Kattel, V. (2021). Short-Term Outcome of Cardiac Surgeries in a Tertiary Care Hospital at the Eastern Part of Nepal. Journal of Nobel Medical College, 10(1), 25–30. https://doi.org/10.3126/jonmc.v10i1.37931

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Original Articles